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level: Level 1

Questions and Answers List

level questions: Level 1

QuestionAnswer
Long Term Care is Defined?The range of services physical psychosocial spiriual social and economic, needed to help people attain maintain and regain their optimum level of functioning.
Define Activities of Daily LivingThose activities of daily life such as toileting, bathing, dressing, and grooming that promote maintenance of functional abilities and independance in the enviroment.
Define Quality of LifeIs an individualized concept, but refers to an individuals overall well being and feeling of physical, social and spiritual happiness.
Define EthnicityA persons indentification with a certin ethnic group is based on shared traditions national orgin, physical characteristics, and other markers such as language food and dress.
As of ______there were more than _____________Americans aged 65 and older and 6.4 milliom aged 85 and over living in the United States.2017, 48.2 million
At present there are numerous setting for long term care includingHome, community and specialized facilities
Medicare and Medicaid offer a program called?Program of All Inclusive Care (PACE) Which still helps people remain in their homes while receiving the necessary care.
To qualify for PACE a person must be?55 years or older. Live in the service area and qualify for nursing home level care, and be deemed safe to live at home with the help of pace.
What is the role of Hosplce Agencies?To provide services to patients and families as the end of life approaches.
Who qualifies for Hospice Services?Hospice services are availible to any age group, not just older adults. Medical certification is required for terminal care.
Maintaining comfort as death approaches is central to?Hospic Care
What is Palliative Care?It extends the principles of hospic care to a broader population that has the possibility to benefit from comfort care elier in the illness or disease process.
Adult daycare centers are designed to serve?Adults who need supervision, social opportunities or assistance because of physical or cognitive imparement.
Typical Services offered by adult daycare centers are.Transportation, social services, meals, limited nursing care, personal care, counseling, therapeuitc activities, rehabilitation therapies, crafts, recreational activities.
Respite Care?Respite care is provided to give family members or caregivers a break from the responsibility of care.
What are residential care facilities?They are Assisted Living facilities, Congragate Care Facilities and Continuing Care Retirement facilities.
What is Assisted Living?A type of residential care setting in which the adult patient rents a apartment or studio, and has the option of receiving personal services such as bathing, dressing, and administration of medications.
Sub Acute care has become necessary because of?Increased lifespan as well as changes in hospital reimbursement.
The Intesive Care Unit (ICU) cares for patients who?Condition is so critical that thay formally would not have survived
In the acute care setting, strict rules about length of stay and limitations on cost reinburstment?Limit the amount of time an adult can be hospitalized.
Define OBRA?Omnibus Budget Reconiliation Act
ICPInterdisciplinary Care Planning Meeting.
ICP's are mandated by?OBRA
The Long Term Care Facility is managed by?The Administrator and DON
DONDirector Of Nurses
DSDDirector Of Staff Development
Provide the largest percentage of nursing care?CNA's
HCFA?Health Care Financing Administration
The HCFA administers and monitors the __________ guidelines through institutional surveys.OBRA
___________ defines requirements for the quality of care given to residents and covers many aspects of institutional life.OBRA
Six Ethical Issues Related to Long Term Care 1Adherence to the patience Bill of Rights
Six Ethical Issues Related to Long Term Care 2Advanced Directives
Six Ethical Issues Related to Long Term Care 3Do Not Resuscitate orders (DNR)
Six Ethical Issues Related to Long Term Care 4Guardianship
Six Ethical Issues Related to Long Term Care 5Power of Attorney
Six Ethical Issues Related to Long Term Care 6Resposible Party Designation
DNRDo Not Resuscitate
A federally funded national health isurance program for people 65 and olderMedicare
A federally funded state operated program for low income individulesMedicaid
The Joint Commission has established?Five national safety goals
1-5 of the National Safety Goals established by the TJC 1Identify the residents correctly
1-5 of the National Safety Goals established by the TJC 2Use Medicine Safely
1-5 of the National Safety Goals established by the TJC 3Prevent Residents from falling
1-5 of the National Safety Goals established by the TJC 4Prevent Pressure Injuries
To prevent pressure injury the patient should be repositioned every?2 hours
The role of the LVN?LPN in the Nurse in process 1Participate in planning care for patients based on patient based needs
The role of the LVN?LPN in the Nurse in process 2Review patients plan of care recommend revisions as needed
The role of the LVN?LPN in the Nurse in process 3Review and follow defined prioritization for patient care
The role of the LVN?LPN in the Nurse in process 4Use clinical pathways care maps or care plans to guide and review patient care
Strategy to Meet Goal 1Identify residents correctly
Strategy to Meet Goal 2 Answer (term)Use medications safely. Upon admissions ensure current medications list is obtained
Strategy to Meet Goal 3 Answer (term)Prevent Infection, Use good hand hygine at all times, Follow policy to prevent the spread of infection amoung patients.
Strategy to Meet Goal 4 Answer (term)Prevent residents from falling, determine which reidents or fall risks and institute fall protical
Strategy to Meet Goal 5 Answer (term)Prevent bed sores, perform skin assessments to idenify patients or residents at risk for impared skin integrity
The Nurse and Team Identify Patient Problems from the assessment. Possible patient problems in long term health. Prioritize patient problems 1Anxiousness, related to financial difficulies
he Nurse and Team Identify Patient Problems from the assessment. Possible patient problems in long term health. Prioritize patient problems 2Complex Grief Related to multiple losses
he Nurse and Team Identify Patient Problems from the assessment. Possible patient problems in long term health. Prioritize patient problems 3Compromised Physical Mobility, related to abnormal gait.
In long term care the interdisciplinary team reviews the residents plan of care every______________? For resolution of problems or revision of goals and interventions.90
Nursing evaluation must be aimed directly at patient?Outcomes
TBITraumatic Brain Injury
The goal of Rehabilitive Nursing is?To support patients in the restoreation of ahealth state or in adaptation of changes that have resulted in chonic illness or disability
ImpairmentAny loss or abnormality of psychological, physical or atonomic structure of function
DisabilityThe loss of an ability to participate in one or more major life activities as a result of mental emotional or physical imparements.The imparement may limit participation in a manner within the range of ability that is considarded normal.
Functional limitationsAny loss of ability to perform tasks or activities of daily living
Chronic IllnessA chronic illness generally refers to a condition or state that lasts for 3 months or longer. A chronic illness can have periods of remission and exacerbation.
ExacerbationAn increase in the seriousness of a disease or disorder marked by greater intensity in the signs or symptoms of the patient being treated
Focuse Areas Related to Chronic Illness and Disability 1Access to health services
Focuse Areas Related to Chronic Illness and Disability 2Arthritis, osteoporosis, and chronic back conditions
Focuse Areas Related to Chronic Illness and Disability 3Cancer
Focuse Areas Related to Chronic Illness and Disability 4Dementias, including Alzheimers Disease
Focuse Areas Related to Chronic Illness and Disability 5Diabetes
Focuse Areas Related to Chronic Illness and Disability 6Disability and Health
Focuse Areas Related to Chronic Illness and Disability 7Hearing and other sensory or communication disorders
Focuse Areas Related to Chronic Illness and Disability 8Heart disease and Stroke
Focuse Areas Related to Chronic Illness and Disability 9Human Immunodeficiency Virus (HIV) Infection
Focus Areas Related to Chronic Illness and Disability 10Mental health and Mental health disorders
Focus Areas Related to Chronic Illness and Disability 11Respiratory disease
Focuse Areas Related to Chronic Illness and Disability 12Vision
Chronic Illness have the potential to be eitherabrupt or insidious in onset and by definition persist for an extended and indefinite period.
The scope of conditions that necessitate rehabilitation isBroad and spans the life continuum
Goals of rehabilitation 1To maximize the quality of life for the patient
Goals of rehabilitation 2To address the patients spacific needs
Goals of rehabilitation 3To assist the patient in adjusting to an altered lifestyle
Goals of rehabilitation 4Are directed in promoting a healthy lifestyle wellness and minimizing complications
Goals of rehabilitation 5To assist the patients in attaining the highest degree of function and self-sufficiency possible
Goals of rehabilitation 6To assist the patient with home and community reentry
Some important factors to keep in mind and help patients reach thier goal are 1Focus on the individule, and all the efforts of rehabilitation or centered on the patients goals
Some important factors to keep in mind and help patients reach thier goal are 2Community reentry, rehabilitation is considered successful if the patient is able to reenter the community
Some important factors to keep in mind and help patients reach thier goal are 3Independance, The goal of rehabilitation is to focus promoting and maintaining the patience independance.
Some important factors to keep in mind and help patients reach thier goal are 4Functional Ability, progress in rehabilitation is measured in terms of functional outcomes
Some important factors to keep in mind and help patients reach thier goal are 5Quality of life, Goals focus on improving the quality of life, rather than increasing the quantity
Some important factors to keep in mind and help patients reach thier goal are 6Change process, Patients who experiance a disabling condition or chronic illness experiance a change process so do their families.
Some important factors to keep in mind and help patients reach thier goal are 7Adaptation, Although patients with disabilities do not alway accept thier new condition they need to learn to adapt to it.
Some important factors to keep in mind and help patients reach thier goal are 8Patient and family education, Knowledge and skills are essential components of the rehabilitation program.
multidisciplinary teamTeam characterized by discipline specific goals clear boundries between disciplines and outcomes that are the sum of each dicsciplines efforts
What is the role of the rehab nurseEducator, Provider of Care, Collaborator, Patient Advocate
Autonomic DysreflexiaA sudden and extreme elevation in the blood pressure caused by a reflex action of the autonomic nervous system.
Patients with spinal lesions above the T5 sometimes experienceAutonomic Dysreflexia
Deep Vein ThrombosisClotting of blood vessels of gthe legs caused by slowing of the circulation or an alterration in the blood vessel walls.
Patients with spinal injuries have the potential to developeDeep vien thrombosis
Heterotopic OssificationThe abnormal formation of bone cells in joints
This commonly arises in people with SCIs and occurs below the level of the lesion.Heterotopic Ossification
SCI - No motor or sensory function below the level of injuryComplete Injury
SCI - Some os all motor or sensory function below the level of injuryIncomplete injury
SCI - Damage to cervical spine or the neck that involves weakness or paralysis in all four extemitiesParaplegia
SCI - A slight paralysis incomplete loss of musular power or weakness of a limbParesis
SCI - Cervical Cord InjuryC2 to C7 involves paralysis of all extemities and the trunk. Respiratory failure bladder and bowel disturbance bradycardia persperation elevated temperature and headache
SCI - Thoracic Cord InjuryT1 to T2 Thorasic Spine injury involves paralysis of the lower extremities. After initial injury muscles are flaccid(soft and weak and flabby lacking normal muscle tone).And later become spastic having uncontrollable spasms or other movements of the skeletal system. Other symptoms are paralysis of bowel and bladder spincters, pain in the chest or back abdominal distention and loss of sexual function
SCI - Lumbar Cord InjuryL1 and L2 with paralysis of the lower extermities bladder and rectum and loss of sexual function
SCI's occur mainly as a result of?Traumatic accidents and the individules paralyzed are primarily young men.
Postural HypotensionSome patients with spinal cord injuries have a marked drop in blood pressure while sitting in the wheelchair.